Background to this inspection
Updated
8 February 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection team comprised of two inspectors.
Service and service type
The Hamptons Retirement Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. The Hamptons Retirement Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
We also reviewed information available on the Healthwatch website. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
During the inspection
We spoke with 7 people, 6 staff that included the registered manager, deputy manager, senior and care staff and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at care records for 4 people, a selection of medication records and 3 staff files. After the inspection, we spoke with 3 relatives of people living in the home and with 2 additional care staff. We also reviewed information requested from the provider, which was promptly sent to us.
Updated
8 February 2023
About the service
The Hamptons Retirement Home is a residential care home providing personal care to up to 30 people. The care home accommodates people across two separate floors, some of whom are living with dementia. At the time of our inspection there were 27 people using the service.
People’s experience of using this service and what we found
The management processes in place to monitor and audit the service required some improvement. Daily environmental checks around the home had not always identified potential risk to people. For example wet flooring. The processes for re-ordering of some medicines and food supplements needed to be reviewed to reduce future over-stocking.
People told us they felt safe living at the home. Staff were aware of their responsibilities to report any concerns about people’s care and safety. Care plans and risk assessments were reviewed. People’s weights were being monitored and prompt referrals to appropriate agencies were made.
There were enough staff on duty at the time of the inspection. Recruitment checks had been completed prior the appointment of new staff. Competency checks had been completed to make sure staff supported people safely. People had received their prescribed medication. The home environment was clean.
People and relatives spoke positively about the staff and management team of the home. The home was well supported by health and social care professionals. Staff received appropriate training and told us they felt supported through team meetings and supervision.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection
The last rating for this service was good (published 28 June 2022).
Why we inspected
We received concerns in relation to the how the home was being managed. Low staffing numbers, the safe administration of medicines and prescribed food supplements. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained good based on the findings of this inspection.
We have found evidence that the provider needs to make some improvements. Please see the well-led section of this full report.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Hamptons Retirement Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.